Accepted Insurance

A

Advocate Physician Partners – BlueCare Direct HMO

Aetna – PPO, HMO, POS, EPO

Aetna Whole Health

Aetna Advantage/ Advantage Plus – PPO

Aetna Managed Choice Open Access – PPO

Aetna National Advantage Program (NAP) – PPO

Aetna Signature Authority (ASA or SRC) – PPO

AMITA Health BCBS sites 494, 495, 496, 497, 498, 499, 500

AMITA Health BCBS Medicare Advantage sites 760, 761, 762, 763, 764, 765

B

Beech street Inc. – PPO

Blue Advantage

Blue Choice

Blue Cross and Blue Shield – all PPO plans

Blue Cross – Classic Blue/Blue Perform,

Blue Cross Blue Shield AMITA Health sites sites 494, 495, 496, 497, 498, 499, 500

Blue Cross and Blue Shield HMO – Illinois Sites – 357, 600, 124, 479, 302, 464, 294, 331, 474, 266, 277, 353

Blue Cross and Blue Shield HMO – non-Illinois plans

Blue Cross Medicare PPO (Choice Plus, Choice Premier)

Blue Medicare Advantage (Basic, Basic Plus, Premier Plus) – HMO

Blue Precision

C

CIGNA/Great-West Healthcare – PPO, EPO, HMO, POS, Open

CIGNA One Health HMO

Cigna Open Access Plus/ Choice Fund OA Plus – POS

Cigna State of Illinois – POS

Cigna / C5 – POS

Cofinity – PPO only

Coventry – PPO, HMO, POS

F

First Health PPO

G

Golden Rule

Great-West Healthcare

H

Harken Health (United Healthcare) Choice Plus

Healthlink/Unicare PPO

HFN – PPO, EPO

HFN Platinum EPO

HFN Total Care – PPO

HST Care Connect EPO

Humana – PPO, POS, HMO, EPO

Humana Advocate Centered Plan – EPO, HMO

Humana Choice POS

Humana ChoiceCare/National PPO

Humana HMO Premier/Open Access

Humana HMO Select

Humana HMO Select/ Illinois Platinum HMO

Humana Illinois CCN HMO

Humana Medicare Advantage Plans – Gold Plus- HMO, HumanaChoice -PPO, Humana Gold Choice (PFFS)

Humana National EPO/HMO/POS-Open Access

Humana Platinum HMO

I

Imagine Health Smartcare

M

Medicare

Medicare Advantage BCBS sites 760, 761, 762, 763, 764, 765

MultiPlan – PPO

P

PHCS Healthcare Systems PPO

PHCS Savility – PPO

S

SEIU – Local 4 HMO and PPO

T

Texas True Choice

Tricare (thank you for serving)

U

UMR

Unicare

Union Medical (Local 1546) HMO

United Healthcare AARP Medicare

Complete (HMO, Access HMO, Plan 1 and Plan 2 HMO)

United HealthCare All Savers

United HealthCare Charter HMO

United HealthCare – PPO, POS, HMO

United HealthCare/Choice Plus/ Select POS

United HealthCare Choice Select HMO

United HealthCare Core PPO

United HealthCare Options PPO

United HealthCare Harken Health ChoicePlus

United HealthCare Navigate HMO & POS

United HealthCare HDHP Definity Basics PPO

United Healthcare Medicare Advantage Medicare Solutions PPO/Group Retirees

United Healthcare Medicare – HMO, PPO

United Healthcare NexusACO R and Nexus ACO OA

United Healthcare Railroad Employees National Health & Welfare Plan(Group 023000)

United Healthcare Railroad Employees The National Railway Carriers & United Transportation Union Health and Welfare Plan (Group 690100)

Insurance Plans Not Accepted

We are not in network with the following plans:

Advocate Meridian Health Plan of Illinois Medicaid HMO

Aetna – EPO (you should call) 

Aetna and ask if they will allow an urgent care visit if authorized by your PCP)

Blue Cross Blue Shield BCBS Community

Blue Cross Blue Shield BCBS Community MMAI

Blue Cross Blue Shield BCBS Community MMAI HMO

Cigna Local Plus Connect County Care

Harmony Health Plan

FHN Blue Cross Blue Shield

Humana Gold Plus Integrated

Illinois ACA Adults

Illinois FamilyCare / All Kids Assist

Illinois All Kids Share ICP

Meridian Family Health Plan; ICP

Meridian Complete MMAI

FAQ

Your co-pay is the cost that patient is required to pay at the time of the visit. This is paid for routine services to which your deductible does not apply. Your co-pay is typically found on the front side of your insurance card. The co-pay is not the only payment that is expected, you will receive a bill from the clinic some time after your visit.

The deductible is the amount that you need to pay before the insurance will cover any of your doctor’s visits. This amount varies for all insurance plans and should be met within the calendar year before your policy will begin to pay for any of your health care costs. Not meeting your deductible is one of the reasons that patients can end up with large bills since the costs of the visit is being applies toward the deductible.

If you have a deductible plan – We require payment of up to $150 at time of service. This payment is calculated from patient plan deductible and will accommodate patient balance.

We feel our future is tied with providing high quality, cost-effective care. There is tremendous wastage in the U.S. healthcare system. Most other nations have a fee-for-service model where you as the consumer have complete control of the costs.

We offer high-quality very efficient care and will inform you of the costs of care and you have full control. You are our valued patient and we look forward to serving your needs. We will tell you about the cost of every test and its importance before we order them.

We have highly subsidized on-site labs and x-rays are at an extra charge and will inform you of all charges before obtaining them, while you are in the clinic.

For our patients who pay at the time of service, the consultation (visit) charges are: New Patient//$150 & Returning Patient//$125.

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